A family-centered approach to health care for children with special health care needs (CSHCN) is widely acknowledged as the ideal model of service delivery, but less is known about the actual practice of family-centered care (FCC), especially from the viewpoints of parents and health care professionals. This cross-sectional research compared ...

This article reports on findings from a cross-sectional study (N = 378) of patients living with systemic lupus erythematosus (SLE). The purpose of this study was to identify and clarify the unique psychosocial challenges for those living with lupus. The specific analysis will help to develop a model to determine ...

This article describes an organizational development tool called appreciative inquiry (AI) and its use in mental health to aid agencies implementing recovery model services. AI is a discursive tool with the power to shift dominant organizational cultures. Its philosophical underpinnings emphasize values consistent with recovery: community, empowerment, and positive focus. ...

This qualitative study sought to explore facilitators and barriers to adherence to multiple medications among low-income patients with comorbid chronic physical and mental health conditions. The 50 focus group participants identified personal/contextual and health system factors as major impediments to adherence to multiple medications. These factors included medication side effects, ...

Context: Factors that affect food choices include the physical and social environments, quality, quantity, perceived healthfulness, and convenience. The personal food choice process was defined as the procedures used by athletes for making food choices, including the weighing and balancing of activities of daily life, physical well-being, convenience, monetary resources, ...

Context: Our previous research determined the frequency of
participation and perceived effect of formal and informal continuing
education (CE) activities. However, actual preferences for and barriers
to CE must be characterized.

Context: Previous researchers have indicated that athletic training
education programs (ATEPs) appear to retain students who are motivated
and well integrated into their education programs. However, no
researchers have examined the factors leading to successful persistence
to graduation of recent graduates from ATEPs.

Context: Understanding implementation strategies of Approved
Clinical Instructors (ACIs) who use evidence-based practice (EBP) in
clinical instruction will help promote the use of EBP in clinical
practice.

Context: To our knowledge, no authors have assessed health-related
quality of life (HR-QOL) in participants with functional ankle
instability (FAI). Furthermore, the relationships between measures of
ankle functional limitation and HR-QOL are unknown.

Context: Community-acquired methicillin-resistant Staphylococcus
aureus (MRSA) is becoming more prevalent in healthy athletic
populations. Various preventive measures have been proposed, but few
researchers have evaluated the protective effects of a prophylactic
application of a commercially available product.

Context: The ability to accurately estimate quadriceps voluntary activation is an important tool for assessing neuromuscular function after a variety of knee injuries. Different techniques have been used to assess quadriceps volitional activation, including various stimulating electrode types and electrode configurations, yet the optimal electrode types and configurations for depolarizing ...

Context: Knee braces and neoprene sleeves are commonly worn by
people with anterior cruciate ligament reconstructions (ACLRs) during
athletic activity. How knee braces and sleeves affect muscle activation
in people with ACLRs is unclear.

Context: Fatigue of the gluteus medius (GMed) muscle might be
associated with decreases in postural control due to insufficient pelvic
stabilization. Men and women might have different muscular recruitment
patterns in response to GMed fatigue.

Context: A lack of published comparisons between measures from
commercially available computerized posturography devices and the
outcome measures used to define the limits of stability (LOS) makes
meaningful interpretation of dynamic postural stability measures
difficult.

Context: Precooling is the pre-exercise reduction of body
temperature and is an effective method of improving physiologic function
and exercise performance in environmental heat. A practical and
effective method of precooling suitable for application at athletic
venues has not been demonstrated.

Bullying is a sensitive issue which is no longer confined to the school playground; adults are increasingly aware that workplace bullying is on the rise. Healthcare workers as well as patients are affected by bullying which can result in anxiety, dismay and powerlessness. The impact of workplace bullying on patient ...

Surgical procedures are intended to save lives and improve the quality of life, however omissions in essential practices (system and human error) contribute to unsafe surgical care, and cause significant harm to patients. For centuries it was believed that patients' co-morbidities and the surgeon's technical competence were the key determinants ...

The notion of different professional groups working and learning together is by no means new in healthcare. Members of each professional group within the perioperative environment frequently work and learn together in order to improve the care of the surgical patient. However traditional perioperative teamwork is being transformed as national ...

Tracheal intubation constitutes a routine part of anaesthetic practice both in the operating theatre as well as in the care of critically ill patients. The procedure is estimated to be performed 13-20 million times annually in the United States alone. There has been a recent renewal of interest in the ...

Severe arterial bleeding must have been a common, much feared and often fatal complication of trauma since man appeared on Earth. The early surgeons would have used direct pressure on the wound, which would only have provided temporary relief, or learned to apply a tight dressing. If it was an ...

A data-driven, comprehensive model for improving service and creating longterm value was developed, and implemented at Mayo Clinic Arizona (MCA). Healthcare organizations can use this model to prepare for value-based purchasing, a payment system in which quality and patient experience measures will influence reimbursement. Surviving and thriving in such a ...